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WGU D236 Pathophysiology Exam TEST BANK |300 Questions with Verified Answers | 100% Correct | Latest 2025/2026 |Graded A.

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An ICU patient's arterial blood gas results show low pH and low CO2 levels. The patient's respiratory rate is increased. What is the name of this condition? Metabolic acidosis (Since the pH is low, and the pH and CO2 are trending in the same direction, the condition is metabolic acidosis. The low CO2 indicates that CO2 is not causing the acidosis. The increased respiratory rate lowers blood CO2 in an attempt to compensate for the metabolic acidosis.) Your patient has pulmonary edema, which raises levels of CO2 in the blood. What helps the patient's body to compensate for this increase? The kidneys conserve H+ and conserve HCO3- The kidneys excrete more H+ and conserve HCO3- The kidneys conserve H+ and excrete more HCO3- The kidneys excrete more H+ and excrete more HCO3- The kidneys excrete more H+ and conserve HCO3- (The increased CO2 level will generate more carbonic acid. The body must compensate for the decreased pH. Excreting more H+ and conserving HCO3- will both help to increase pH.) Heberden and Bouchard's nodes are indicative of what disease process? Osteoarthritis You receive a patient who has experienced a burn on the right leg. The burn has small blisters, is markedly pinkish red, and has a shiny and moist appearance. When the patient is asked about pain level, the patient describes it as severe. What level of burn does this patient present? Superficial thickness / Partial or intermediate thickness / Full Thickness / Fourth Degree Second Degree (partial thickness) Second degree: Partial thickness burns can be either superficial partial thickness or deep partial thickness, depending on the degree of tissue necrosis of the dermal layer. These burns can char the epidermis and papillary dermal layer, with resultant edema and formation of epidermal blisters. Burned skin is wet, raw, and pink or cherry red in color that blanches with pressure. Identify degrees of burn, and other s/s to that degree burn First-degree (Superficial) burns affect only the outer layer of the skin. They cause pain, redness, and swelling (no blistering/scarring). Second-degree (Partial or intermediate thickness) burns affect both the outer and underlying layer of skin. They cause pain, redness, swelling, and blistering. Pink/Cherry in color that blanches. Third-degree (Full thickness) burns affect the deep layers of skin. High risk of infection. Fourth-degree burns involve muscle or bone. A 56-year-old female presents with superficial partial-thickness burns to the anterior head and neck, front and back of the left arm, front of the right arm, posterior trunk, front and back of the right leg, and back of the left leg. Calculate the total body surface area percentage that is burned using the Rule of Nines. 63% The Rule of Nines is a rapid method used during the prehospital and emergent phase of care. The body is divided into regions that present 9%, or multiples of 9, with the exception of the perineum, which is 1% of BSA (body surface area). The face and back of the head are 4.5% each, so the entire head is 9%, the anterior and posterior portion of the arm is 9%, and the total for each leg is 18%. Anterior head and neck (4.5%), front and back of the left arm (9%), front of the right arm (4.5%), posterior trunk (18%), front and back of the right leg (18%), back of the left leg (9%) which equals 63%.

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WGU D236 Pathophysiology











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Institution
WGU D236 Pathophysiology
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WGU D236 Pathophysiology

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Uploaded on
January 17, 2025
Number of pages
107
Written in
2024/2025
Type
Exam (elaborations)
Contains
Questions & answers

Subjects

Content preview

WGU D236 Pathophysiology Exam i,- i,- i,- i,-




TEST BANK |300 Questions with i,- i,- i,- i,- i,-




Verified Answers | 100% Correct | i,- i,- i,- i,- i,- i,-




Latest 2025/2026 |Graded A. i,- i,- i,-




An ICU patient's arterial blood gas results show low pH and low
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



CO2 levels. The patient's respiratory rate is increased. What is the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



name of this condition?
i,- Metabolic acidosis
i,- i,- i,-i,- i,- i,-




(Since the pH is low, and the pH and CO2 are trending in the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



same direction, the condition is metabolic acidosis. The low CO2
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



indicates that CO2 is not causing the acidosis. The increased
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



respiratory rate lowers blood CO2 in an attempt to compensate
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



for the metabolic acidosis.)
i,- i,- i,-




Your patient has pulmonary edema, which raises levels of CO2 in
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



the blood. What helps the patient's body to compensate for this
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



increase?


The kidneys conserve H+ and conserve HCO3-
i,- i,- i,- i,- i,- i,-




The kidneys excrete more H+ and conserve HCO3-
i,- i,- i,- i,- i,- i,- i,-

,The kidneys conserve H+ and excrete more HCO3-
i,- i,- i,- i,- i,- i,- i,-




The kidneys excrete more H+ and excrete more HCO3-
i,- i,- i,- i,- i,- i,- i,- i,- i,-i,- i,- The i,-



kidneys excrete more H+ and conserve HCO3-
i,- i,- i,- i,- i,- i,-




(The increased CO2 level will generate more carbonic acid. The
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



body must compensate for the decreased pH. Excreting more H+
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



and conserving HCO3- will both help to increase pH.)
i,- i,- i,- i,- i,- i,- i,- i,-




Heberden and Bouchard's nodes are indicative of what disease
i,- i,- i,- i,- i,- i,- i,- i,- i,-



process? Osteoarthritis i,-i,- i,-




You receive a patient who has experienced a burn on the right
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



leg. The burn has small blisters, is markedly pinkish red, and has a
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



shiny and moist appearance. When the patient is asked about
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



pain level, the patient describes it as severe.
i,- i,- i,- i,- i,- i,- i,-




What level of burn does this patient present?
i,- i,- i,- i,- i,- i,- i,-




Superficial thickness / Partial or intermediate thickness / Full
i,- i,- i,- i,- i,- i,- i,- i,- i,-



Thickness / Fourth Degree Second Degree (partial thickness)
i,- i,- i,- i,-i,- i,- i,- i,- i,-

,Second degree: Partial thickness burns can be either superficial
i,- i,- i,- i,- i,- i,- i,- i,- i,-



partial thickness or deep partial thickness, depending on the
i,- i,- i,- i,- i,- i,- i,- i,- i,-



degree of tissue necrosis of the dermal layer. These burns can
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



char the epidermis and papillary dermal layer, with resultant
i,- i,- i,- i,- i,- i,- i,- i,- i,-



edema and formation of epidermal blisters. Burned skin is wet,
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



raw, and pink or cherry red in color that blanches with pressure.
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-




Identify degrees of burn, and other s/s to that degree burn
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-i,- i,-



First-degree (Superficial) burns affect only the outer layer of the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



skin. They cause pain, redness, and swelling (no
i,- i,- i,- i,- i,- i,- i,- i,-



blistering/scarring).


Second-degree (Partial or intermediate thickness) burns affect i,- i,- i,- i,- i,- i,- i,-



both the outer and underlying layer of skin. They cause pain,
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



redness, swelling, and blistering. Pink/Cherry in color that
i,- i,- i,- i,- i,- i,- i,- i,-



blanches.


Third-degree (Full thickness) burns affect the deep layers of skin. i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



High risk of infection.
i,- i,- i,-




Fourth-degree burns involve muscle or bone. i,- i,- i,- i,- i,-




A 56-year-old female presents with superficial partial-thickness
i,- i,- i,- i,- i,- i,- i,-



burns to the anterior head and neck, front and back of the left
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-

, arm, front of the right arm, posterior trunk, front and back of the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



right leg, and back of the left leg.
i,- i,- i,- i,- i,- i,- i,-




Calculate the total body surface area percentage that is burned
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



using the Rule of Nines. 63%
i,- i,- i,- i,- i,-i,- i,-




The Rule of Nines is a rapid method used during the prehospital
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



and emergent phase of care. The body is divided into regions
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



that present 9%, or multiples of 9, with the exception of the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



perineum, which is 1% of BSA (body surface area). The face and i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



back of the head are 4.5% each, so the entire head is 9%, the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



anterior and posterior portion of the arm is 9%, and the total for
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



each leg is 18%. Anterior head and neck (4.5%), front and back of
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



the left arm (9%), front of the right arm (4.5%), posterior trunk
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



(18%), front and back of the right leg (18%), back of the left leg
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



(9%) which equals 63%.
i,- i,- i,-




An adolescent male patient is brought to the emergency
i,- i,- i,- i,- i,- i,- i,- i,- i,-



department after spending a long day at the beach. The patient's i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



head, neck, and trunk from the waist upwards and legs from the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



knees downward are bright red and edematous. The patient is
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



crying and reports 8 out of 10 on the pain scale and an inability
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



to find a comfortable position.
i,- i,- i,- i,-




What is the most likely classification of this burn?
i,- i,- i,- i,- i,- i,- i,- i,-

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